• Media type: E-Article
  • Title: Molecular and clinical characterization of cardio‐facio‐cutaneous (CFC) syndrome: Overlapping clinical manifestations with Costello syndrome
  • Contributor: Narumi, Yoko; Aoki, Yoko; Niihori, Tetsuya; Neri, Giovanni; Cavé, Hélène; Verloes, Alain; Nava, Caroline; Kavamura, Maria Ines; Okamoto, Nobuhiko; Kurosawa, Kenji; Hennekam, Raoul C.M.; Wilson, Louise C.; Gillessen‐Kaesbach, Gabriele; Wieczorek, Dagmar; Lapunzina, Pablo; Ohashi, Hirofumi; Makita, Yoshio; Kondo, Ikuko; Tsuchiya, Shigeru; Ito, Etsuro; Sameshima, Kiyoko; Kato, Kumi; Kure, Shigeo; Matsubara, Yoichi
  • imprint: Wiley, 2007
  • Published in: American Journal of Medical Genetics Part A
  • Language: English
  • DOI: 10.1002/ajmg.a.31658
  • ISSN: 1552-4833; 1552-4825
  • Keywords: Genetics (clinical) ; Genetics
  • Origination:
  • Footnote:
  • Description: <jats:title>Abstract</jats:title><jats:p>Cardio‐facio‐cutaneous (CFC) syndrome is a multiple congenital anomaly/mental retardation syndrome characterized by heart defects, a distinctive facial appearance, ectodermal abnormalities and mental retardation. Clinically, it overlaps with both Noonan syndrome and Costello syndrome, which are caused by mutations in two genes, <jats:italic>PTPN11</jats:italic> and <jats:italic>HRAS</jats:italic>, respectively. Recently, we identified mutations in <jats:italic>KRAS</jats:italic> and <jats:italic>BRAF</jats:italic> in 19 of 43 individuals with CFC syndrome, suggesting that dysregulation of the RAS/RAF/MEK/ERK pathway is a molecular basis for CFC syndrome. The purpose of this study was to perform comprehensive mutation analysis in 56 patients with CFC syndrome and to investigate genotype–phenotype correlation. We analyzed <jats:italic>KRAS</jats:italic>, <jats:italic>BRAF</jats:italic>, and <jats:italic>MAP2K1/2</jats:italic> (MEK1/2) in 13 new CFC patients and identified five <jats:italic>BRAF</jats:italic> and one <jats:italic>MAP2K1</jats:italic> mutations in nine patients. We detected one <jats:italic>MAP2K1</jats:italic> mutation in three patients and four new <jats:italic>MAP2K2</jats:italic> mutations in four patients out of 24 patients without <jats:italic>KRAS</jats:italic> or <jats:italic>BRAF</jats:italic> mutations in the previous study [Niihori et al., <jats:ext-link xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="#bib14">2006</jats:ext-link>]. No mutations were identified in <jats:italic>MAPK3/1</jats:italic> (ERK1/2) in 21 patients without any mutations. In total, 35 of 56 (62.5%) patients with CFC syndrome had mutations (3 in <jats:italic>KRAS</jats:italic>, 24 in <jats:italic>BRAF</jats:italic>, and 8 in <jats:italic>MAP2K1/2</jats:italic>). No significant differences in clinical manifestations were found among 3 <jats:italic>KRAS</jats:italic>‐positive patients, 16 <jats:italic>BRAF</jats:italic>‐positive patients, and 6 <jats:italic>MAP2K1</jats:italic>/<jats:italic>2</jats:italic>‐positive patients. Wrinkled palms and soles, hyperpigmentation and joint hyperextension, which have been commonly reported in Costello syndrome but not in CFC syndrome, were observed in 30–40% of the mutation‐positive CFC patients, suggesting a significant clinical overlap between these two syndromes. © 2007 Wiley‐Liss, Inc.</jats:p>